The Changing Health Policy Environment and Behavioral Health Services Delivery

Deinstitutionalization has left an inadequate supply of inpatient psychiatric beds. Simultaneous cuts to public funding and insurance coverage for outpatient mental health treatment have increased the frequency of acute psychiatric crises. The resulting lack of available options has shifted the burd...

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Bibliographic Details
Published inThe Psychiatric clinics of North America Vol. 40; no. 3; p. 533
Main Authors Medford-Davis, Laura N, Beall, Rakel C
Format Journal Article
LanguageEnglish
Published United States 01.09.2017
Subjects
Criminal Law
Deinstitutionalization - statistics & numerical data
Emergency Services, Psychiatric - trends
Health Policy - trends
Humans
Insurance Coverage
Mental Health Services - legislation & jurisprudence
Patient Protection and Affordable Care Act
Substance-Related Disorders
United States
Affordable Care Act (ACA)
Drug abuse
Opioid addiction
Health policy
Mental Health Parity and Addiction Equity Act (MHPAEA)
Insurance coverage
Psychiatric crisis
Deinstitutionalization
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Summary:Deinstitutionalization has left an inadequate supply of inpatient psychiatric beds. Simultaneous cuts to public funding and insurance coverage for outpatient mental health treatment have increased the frequency of acute psychiatric crises. The resulting lack of available options has shifted the burden of treatment to emergency departments and the criminal justice system. Recent legislation has improved insurance access, but rules are not always enforced and there are still few options for care. Discussion of mental health care delivery must acknowledge that many emergent behavioral health crises arise in the context of acute substance intoxication, withdrawal, or dependence.
ISSN:1558-3147
DOI:10.1016/j.psc.2017.05.013